Healthcare Provider Details

I. General information

NPI: 1710632369
Provider Name (Legal Business Name): KSC HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2022
Last Update Date: 02/12/2022
Certification Date: 02/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BRAMSON CT STE 400C
MT PLEASANT SC
29464-7953
US

IV. Provider business mailing address

501 BRAMSON CT STE 400C
MOUNT PLEASANT SC
29464-7953
US

V. Phone/Fax

Practice location:
  • Phone: 843-318-6578
  • Fax:
Mailing address:
  • Phone: 843-318-6578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. BRITTANY SYMONE HERRIOTT
Title or Position: OWNER
Credential:
Phone: 843-318-6578